A Narrative Review of the Measurement Methods for Biomechanical Properties of Plantar Soft Tissue in Patients with Diabetic Foot

Overview

Journal Front Endocrinol (Lausanne)

Specialty Endocrinology

Date 2024 Aug 13

PMID 39135623

Authors

Xiong-Gang Yang

Zhi Peng

Xiang Liu

Xiao-Liang Liu

Sheng Lu

Affiliations

Soon will be listed here.

Abstract

This article provides an overview of the development history and advantages and disadvantages of measurement methods for soft tissue properties of the plantar foot. The measurement of soft tissue properties is essential for understanding the biomechanical characteristics and function of the foot, as well as for designing and evaluating orthotic devices and footwear. Various methods have been developed to measure the properties of plantar soft tissues, including ultrasound imaging, indentation testing, magnetic resonance elastography, and shear wave elastography. Each method has its own strengths and limitations, and choosing the most appropriate method depends on the specific research or clinical objectives. This review aims to assist researchers and clinicians in selecting the most suitable measurement method for their specific needs.

References

Jorgensen U . Achillodynia and loss of heel pad shock absorbency. Am J Sports Med. 1985; 13(2):128-32. DOI: 10.1177/036354658501300209. View

JAHSS M, Michelson J, Desai P, Kaye R, Kummer F, Buschman W . Investigations into the fat pads of the sole of the foot: anatomy and histology. Foot Ankle. 1992; 13(5):233-42. DOI: 10.1177/107110079201300502. View

Wu S, Driver V, Wrobel J, Armstrong D . Foot ulcers in the diabetic patient, prevention and treatment. Vasc Health Risk Manag. 2007; 3(1):65-76. PMC: 1994045. View

Chatzistergos P, Behforootan S, Allan D, Naemi R, Chockalingam N . Shear wave elastography can assess the in-vivo nonlinear mechanical behavior of heel-pad. J Biomech. 2018; 80:144-150. DOI: 10.1016/j.jbiomech.2018.09.003. View

Hsu T, Lee Y, Shau Y . Biomechanics of the heel pad for type 2 diabetic patients. Clin Biomech (Bristol). 2002; 17(4):291-6. DOI: 10.1016/s0268-0033(02)00018-9. View

Brady L, Pai S, Iaquinto J, Wang Y, Ledoux W . The compressive, shear, biochemical, and histological characteristics of diabetic and non-diabetic plantar skin are minimally different. J Biomech. 2021; 129:110797. PMC: 8671345. DOI: 10.1016/j.jbiomech.2021.110797. View

Waldecker U, Lehr H . Is there histomorphological evidence of plantar metatarsal fat pad atrophy in patients with diabetes?. J Foot Ankle Surg. 2009; 48(6):648-52. DOI: 10.1053/j.jfas.2009.07.008. View

Chen J, Brazile B, Prabhu R, Patnaik S, Bertucci R, Rhee H . Quantitative Analysis of Tissue Damage Evolution in Porcine Liver With Interrupted Mechanical Testing Under Tension, Compression, and Shear. J Biomech Eng. 2018; 140(7). PMC: 5938066. DOI: 10.1115/1.4039825. View

Goodfield M, Millard L . The skin in diabetes mellitus. Diabetologia. 1988; 31(8):567-75. DOI: 10.1007/BF00264762. View

10.

Suzuki R, Ito K, Lee T, Ogihara N . In-vivo viscous properties of the heel pad by stress-relaxation experiment based on a spherical indentation. Med Eng Phys. 2017; 50:83-88. DOI: 10.1016/j.medengphy.2017.10.010. View

11.

Ahmed N, Thornalley P . Advanced glycation endproducts: what is their relevance to diabetic complications?. Diabetes Obes Metab. 2007; 9(3):233-45. DOI: 10.1111/j.1463-1326.2006.00595.x. View

12.

Chiwanga F, Njelekela M . Diabetic foot: prevalence, knowledge, and foot self-care practices among diabetic patients in Dar es Salaam, Tanzania - a cross-sectional study. J Foot Ankle Res. 2015; 8:20. PMC: 4462176. DOI: 10.1186/s13047-015-0080-y. View

13.

. Economic costs of diabetes in the U.S. In 2007. Diabetes Care. 2008; 31(3):596-615. DOI: 10.2337/dc08-9017. View

14.

Bandyk D . The diabetic foot: Pathophysiology, evaluation, and treatment. Semin Vasc Surg. 2019; 31(2-4):43-48. DOI: 10.1053/j.semvascsurg.2019.02.001. View

15.

Armstrong D, Boulton A, Bus S . Diabetic Foot Ulcers and Their Recurrence. N Engl J Med. 2017; 376(24):2367-2375. DOI: 10.1056/NEJMra1615439. View

16.

Bennett M, Ker R . The mechanical properties of the human subcalcaneal fat pad in compression. J Anat. 1990; 171:131-8. PMC: 1257133. View

17.

Chanda A, McClain S . Mechanical Modeling of Healthy and Diseased Calcaneal Fat Pad Surrogates. Biomimetics (Basel). 2019; 4(1). PMC: 6477669. DOI: 10.3390/biomimetics4010001. View

18.

Pain M, Challis J . The role of the heel pad and shank soft tissue during impacts: a further resolution of a paradox. J Biomech. 2001; 34(3):327-33. DOI: 10.1016/s0021-9290(00)00199-8. View

19.

Ledoux W, Blevins J . The compressive material properties of the plantar soft tissue. J Biomech. 2007; 40(13):2975-81. DOI: 10.1016/j.jbiomech.2007.02.009. View

20.

Rchallis J, Murdoch C, Winter S . Mechanical properties of the human heel pad: a comparison between populations. J Appl Biomech. 2008; 24(4):377-81. DOI: 10.1123/jab.24.4.377. View